In a one-story office park on the north side of Bend, the only Planned Parenthood clinic in Oregon east of the Cascades can be easy to miss.

On a recent afternoon, a small but steady stream of patients arrived in waves for their scheduled appointments. After a screening for COVID-19, they were quickly ushered into one of six exam rooms. Providers were busy, moving from one patient to the next. The clinic provides sexual reproductive health services in addition to abortion care.

The relative calm belies what clinicians believe will be a surge of demand for abortion services driven by newly enacted bans across the country. The central Oregon clinic is bracing for a big influx of new patients not only from neighboring Idaho, whose near-total abortion ban took effect under a “trigger” provision Thursday, but also from rural eastern Oregonians who might otherwise have gone to Meridian or Boise — as well as residents of other states.

“We are seeing people from almost every red state in the country right now,” said Anne Udall, the chief executive officer for Planned Parenthood Columbia Willamette. “Louisiana, Mississippi, Texas, Idaho — any state that has a ban, we’re seeing patients.”

The Idaho law, passed by the state’s legislature in 2020, was triggered when the U.S. Supreme Court overturned Roe v. Wade in June and allowed states to set their own abortion laws. Performing an abortion in the state under most cases is now a felony punishable by up to five year in prison.

The law makes it illegal to perform an abortion on any “clinically diagnosable pregnancy” unless the pregnant patient’s life is endangered or if the pregnancy was a result of rape or incest that was reported to law enforcement.

A federal judge in Idaho on Wednesday temporarily blocked a portion of the ban that would have allowed authorities to prosecute anyone who is performs an abortion, ruling that the law could not be enforced in an emergency medical situation until after a Justice Department lawsuit is resolved.

A federal judge in Texas made the opposite call, barring the federal government from enforcing a legal interpretation of the Emergency Medical Treatment and Labor Act that would require Texas hospitals to provide abortion services if the health or life of the pregnant patient is at risk.

Idaho officials have vowed to fight off the federal government’s lawsuit and enact the ban approved by its Legislature. “Our nation’s highest court returned the issue of abortion to the states to regulate – end of story,” Republican Gov. Brad Little said in a statement.

Oregon codified abortion rights in a 2017 law that requires insurance companies to cover abortion costs, among other things. It also guarantees the state will cover costs for people on Medicaid or who are uninsured, including those without legal documentation to reside in the U.S. (A federal law, the Hyde Amendment, prevents federal money from being used to pay for abortions.)

“Oregon is the most protective state when it comes to the reproductive rights and access to abortion,” said An Do, executive director for Planned Parenthood Advocates of Oregon.

So clinics across the state are already fielding high call volumes, many of them from out-of-state patients who will travel hundreds of miles to reach an Oregon clinic.

The Bend Planned Parenthood will be among the closest for people in southern Idaho and eastern Oregon seeking abortions. Nova Newman, the assistant manager of the Bend clinic, said the center has been preparing as best as it can.

Newman said the staff has already seen an increase in patients, but the clinic is anticipating a spike as Idaho implements its strict abortion ban.

Leaders at Planned Parenthood Columbia Willamette said the organization has hired more staff and has been working to set up secure teleconferencing links so that a clinician from one health center can connect to patients in another health center to guide them through a medication-induced abortion. Medication abortions in Oregon account for roughly 70% of all abortions in the state.

Meanwhile, a network of volunteers with the Northwest Abortion Access Fund, which helps patients in Oregon, Washington, Idaho and Alaska access abortions, is expecting more calls in the coming weeks and months, said Riley Keane, a practical support lead with the nonprofit.

“One of the biggest effects of abortion bans like the one we’re seeing in Idaho is the chilling effect on abortion seekers,” said Keane. “They don’t know what’s illegal or legal in their state, and they’re scared.”

Keane, who has been with the nonprofit for three years, said about 90 volunteers work shifts to field calls from patients seeking help with travel logistics, including accommodations and arranging for a childcare, as well as paying for the abortion procedure.

She said volunteers with the nonprofit have received an influx of callers, many from outside the Pacific Northwest, since the Supreme Court’s ruling.

“The work has gotten incredibly more difficult since,” Keane said. “After Idaho’s six-week abortion ban went into effect, we’ve been scrambling to work with patients who had their appointments canceled and help them find new appointments.”

As of Thursday, Udall said the average wait time for an appointment at Planned Parenthood Columbia Willamette’s seven health centers is about two weeks. But she said that number is expected to rise.

Planned Parenthood plans to open a clinic in Ontario on the far eastern edge of Oregon, but the organization hasn’t provided a timeline for when it would open. Much about the plan remains unclear, but Udall said she expects the clinic to offer a “full range of sexual reproductive care.”